There are many methods of classifying
pelvic organ prolapse. No one system is universally
agreed upon. But the system approved by the International Continence Society,
called the Pelvic Organ Prolapse Quantification system (POPQ), is considered
one standard.1 This system uses a fixed point at the
entrance to the vagina (the hymen) and measures the distance between the
farthest tip of the prolapsed organ and this fixed point. The system also uses
defined points inside the vagina to determine what kind of prolapse has
Your doctor may use one of the many classification
systems to determine the level of an organ's prolapse. Identifying the exact
level of prolapse helps guide decisions about which treatments are most likely
to offer long-term success. The classification-"grade" or "stage"-of a prolapse
is determined many different ways. Ask your doctor to explain how he or she
classifies pelvic organ prolapse.
by Sari Harrar
Anna Albrecht was a fit 31-year-old mother of two when the Big Leak happened one day. "I was jumping rope at the gym when — splash! — I completely wet my pants," she recalls. "I was so embarrassed." So did Albrecht go to the doctor? "Not for seven years," she admits. "I just didn't jump rope."
The leaks have stopped, thanks to a class aimed at strengthening her pelvic floor — the hammock of muscles that supports the internal organs, including the bladder, bowels, and...